About the author(s)

Siyabonga H. Kunene, Department of Physiotherapy, University of the Witwatersrand, South Africa Serela Ramklass, School of Clinical Medicine, University of KwaZulu-Natal, South Africa Nomathemba P. Taukobong, Department of Institutional Planning, Sefako Makgatho Health Sciences University, South Africa

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Abstract

Background: Anterior knee pain (AKP) is the most common injury among runners, especially in females and young runners. Because of a deficit of rehabilitation services in under-resourced communities, runners train and compete with injuries, resulting in further complications.

Objectives: This study aimed to determine the prevalence and modifiable intrinsic risk factors for AKP among runners in under-resourced communities in Ekurhuleni, Gauteng Province.

Method: This cross-sectional study included a population of 347 runners from six running clubs. Convenience sampling was used to recruit 183 participants aged between 13 and 55. A standardised questionnaire determined AKP prevalence, and 12 physical tests screened for modifiable intrinsic risk factors. Descriptive and inferential statistical tests were used to analyse the data.

Conclusion: Anterior knee pain and various modifiable intrinsic risk factors were found among these runners. These findings suggest that management of AKP should take into consideration the effect of these identified modifiable risk factors to improve management outcomes. A community-based rehabilitation approach should be considered, given the lack of resources in low socio-economic communities.

Clinical implications: The results from this study make explicit the risk factors associated with AKP, particularly in runners from under-resourced communities. These are important considerations in the development of rehabilitation programmes to manage AKP.